Polyvagal Theory: The 3 States of Anxiety in the Nervous System
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 Published On Nov 10, 2022

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Do you ever feel hopeless, shut down, or walled off? Or do you get triggered and feel anxious, angry, or agitated? There are essentially 3 states of your nervous system: Ventral Vagal (Safe and social) Sympathetic (Fight or Flight) and Dorsal Vagal (Shut Down). Most people aren’t able to identify which state they’re in, and then they feel helpless to change. This is especially difficult for people with trauma, which includes about ⅓ of the population. When you have trauma, your nervous system can get stuck in a hypervigilant state or a frozen, numb state.

And when you can identify the states of your nervous system, you can learn skills to spend more time in the safe and social state of your nervous system. You can retrain your nervous system to be healthier. One approach to learning how to feel safe in your body is the Polyvagal approach. It’s known as the science of feeling safe. The researchers and clinicians who developed polyvagal therapy have developed a system to help people learn to turn on that safe feeling in your body, so that you can feel more calm, have better relationships, and make better choices.

In this video you’re going to learn the three states that your nervous system can be in according to polyvagal theory. This will help you learn to identify what state you’re in and then use self-regulatory skills to shift your nervous system to a state of safety.

0:00 Introduction to trauma in the nervous system
2:18 What is polyvagal theory for treating trauma/childhood trauma?
5:54 Ventral vagal state
6:44 Sympathetic state
8:30 Dorsal vagal state
10:21 How to move up the ladder/somatic treatments for trauma

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Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction.
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00:00 Introduction
02:16 Polyvagal Theory
03:57 The Vagus Nerve
05:36 The Polyvagal Ladder Metaphor
05:54 #1 Safe and Social - Ventral Vagal State
06:44 #2 Fight or Flight - Parasympathetic State
08:30 #3 Shutdown - Dorsal Vagal State -
10:21 Learning to Identify the three polyvagal states

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